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Wide Removal of the Tonsil and Nearby Tissue

Tennessee rates for HCPCS 42842

Removes a tonsil together with the folds of tissue on either side of it and, where involved, the strip of gum behind the last lower molar, taking a margin of surrounding tissue along with the growth. The raw surface is left to heal on its own rather than being covered with tissue moved in from elsewhere. It is used for cancer of that part of the mouth and throat.

Rates data updated July 2026.

How much does Wide Removal of the Tonsil and Nearby Tissue cost?

$3,548

Typical facility fee. In Tennessee, July 2026.

Insurers have agreed to pay about $3,548 for this service. Most negotiated rates run $2,399 to $6,310.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,548 · 10th to 90th $1,202 to $9,550
$1.0$10.0$100.0$1.0K$10.0Kfacility $3,548

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$2,754.23
Typical High
$7,585.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$6,165.95
Typical High
$9,772.37
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$512.86
Typical High
$794.33
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$16,982.44
Typical High
$16,982.44
United
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$3,311.31
Typical High
$6,025.60

Where Tennessee sits

The same service costs 22.4 times more in Indiana than in Maine. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Tennessee $3,548 · 20th of 50
IN $15,488ME $692

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.